MARYANNE NJIDEKA EJIDIKE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

ACTIVE

Business

Title

First Name

MARYANNE

Middle

NJIDEKA

Last Name

EJIDIKE

Business Name

MARYANNE NJIDEKA EJIDIKE MD

Original Issue Date

08/09/2021

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

YONKERS

State

Zip

10710

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/17/2023